NURS 611 Patho Exam 2 Review Exam 2026
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Where are nociceptors located?
Peripheral Nervous System (skin, muscles, joints, bones, internal organs)
Where do nociceptors send electrical signaling messages to?
Dorsal horn of the spinal cord
What happens to the sympathetic nervous system in chronic pain?
Sympathetic unresponsiveness (adaptation); The patient may even look calm with no
increase in pulse or respiratory rate
What can are 4 things extreme, prolonged hyperthermia can cause
Nerve damage, coagulation of proteins, convulsions, and death
Exogenous pyrogens are produced by what?
Pathogens
Endogenous pyrogens are produced by what?
Phagocytic cells (prostaglandin, interleukins)
Higher body temperatures decrease serum levels of what?
Zinc, Iron, and Copper (minerals needed for bacterial replication)
Fever: Subtle or atypical responses accompanied by dehydration are seen in which age
group?
Older adults
Fever: In severe systemic infection, there may be no fever. Which age group?
Older adults
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Fever: Strange body sensations, headache, vivid dreams, and hallucinations are
associated with which age group?
Older adults
Fever: Severe systemic infections causing alternating hypothermia and high fever in a
24hr period are seen in which age group?
Older adults and Children
True/False: Infected babies may not develop infectious fever in the first few days of
life.
True
Fever: Present with fever and no other symptoms, making differential diagnosis
difficult. Which age group?
Young infants (60-90 days of age)
Fever: Skin vasoconstriction can lead to a rapid increase in body temperature. Which
age group?
Children
Partial or total airway obstruction to airflow recurring during sleep with continuous
respiratory efforts made against a closed airway is what?
Obstructive sleep apnea syndrome (OSAS)
A condition that involves multiple apneic episodes that last 10 seconds or longer
Obstructive sleep apnea syndrome (OSAS)
A condition that involves the temporary absence or diminution of ventilatory effort
during sleep with decreased sensitivity to carbon dioxide and oxygen tensions, and
decreased airway dilator muscle activation
Central sleep apnea
Condition associated with heart failure, neurologic disease, high altitude, or narcotic
medications
Central sleep apnea
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Condition that includes daytime hypercapnia and sleep disordered breathing not
caused by other disorders of hypoventilation
Obesity hypoventilation syndrome
If left untreated, this condition can lead to polycythemia, pulmonary HTN, right-sided
congestive heart failure, liver congestion, and peripheral edema
Sleep apnea
Carcinoma of the external auditory canal or middle ear are associated with what?
Conductive hearing loss
Benign tumors of the middle ear are associated with what?
Conductive hearing loss
A soft speaking voice is associated with what condition?
Conductive hearing loss
Condition where individual hears better in a noisy environment as opposed to a quiet
one
Conductive hearing loss
Condition caused by impairment of the organ of Corti
Sensorineural hearing loss
Systemic disease (syphilis, Paget disease, collagen diseases, diabetes mellitus) can
cause what condition?
Sensorineural hearing loss
Changes in vasculature or stiffening of basilar membranes can cause what condition?
Presbycusis
Condition that describes age-related hearing loss in the high frequencies?
Presbycusis
Atrophy of the basal end of the organ of Corti and loss in number of auditory receptors
causes what condition?
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